17D0453062 CLIA NUMBER - LOGAN COUNTY HEALTH DEPT

Laboratory Demographics

CLIA Number: 17D0453062

Facility Name: LOGAN COUNTY HEALTH DEPT

Facility Address:
216 MAPLE
OAKLEY, KS
ZIP 67748
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Facility Phone Number: 785 671-4502

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1124126719

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	17D0453062
LAB Type	Community Clinic
Facility Name	LOGAN COUNTY HEALTH DEPT
Street	216 MAPLE
City	OAKLEY
State	KS
ZIP	67748
Phone	785 671-4502
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024